Individual
KARISSA LEIGH KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 THE ALAMEDA, SAN JOSE, CA 95126-1136
(408) 261-7777
(408) 259-2273
Mailing address
300 UNION AVE APT 37, CAMPBELL, CA 95008-4231
(408) 460-7888
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT37935
CA
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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